Smith, Tyler Gibson
Smith, Tyler Gibson is an individual health care provider with primary practice located at 115 Airport Rd , Sulphur Springs TX 75482-2105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, Tyler Gibson can be contacted via phone (903) 885-7671.Contact Information
Primary practice address
115 Airport Rd
Sulphur Springs TX 75482-2105
Phone: (903) 885-7671
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | S0225 | Texas |
Profile Details
| NPI number | 1922539030 |
|---|---|
| LBN Legal business name | Smith, Tyler Gibson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2017 |
| Last updated | Jan 4th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922539030 | NPPES |
| Texas | MEDICAID | 412047903 | |
| Texas | MEDICAID | 412047904 |
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